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Individual
TRACY A JONES
Active
Individual
TRACY A JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000934205E
—
GA
Enumeration date
09/15/2008
Last updated
06/04/2009
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